go back

Maine rates for HCPCS 86704

Hepatitis B Core Antibody Hbcab Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $78.23 / $155.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $14.08 / $18.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $16.09 / $125.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $13.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $16.79 / $25.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $16.39 / $17.48
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.55 / $156.55 / $156.55
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $12.29 / $76.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $14.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $78.23 / $194.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $13.85 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $9.85 / $23.79